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Pharmacology NCLEX Review Question: Bronchodilators and Corticosteroids Asthma Nursing

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Pharmacology nursing NCLEX review question on bronchodilators and corticosteroid administration for a patient with asthma.

Hey everyone its aires registered nurse re and calm and in this video i’m going to be going over an ink lex practice question specifically over bronchodilators in corticosteroids use for respiratory disease so let’s take a look at our nclex question the physician prescribes a patient to take in health fluticasone which is flovent h fa and inhaled albuterol which

Is ventolin hf a for the treatment of asthma as the nurse how will you administer these medications a first administer the fluticasone and then give the albuterol five minutes later be first administer the albuterol and then give the fluticasone one minute later si first administer the fluticasone and then give the albuterol immediately or d first administer

The albuterol and then give the fluticasone five minutes later so this question wants to know how we are going to administer this fluticasone and this albuterol because there is a certain way in the order of how we should give them based on how they work so let’s take a look at how they work okay fluticasone which is also called a flow vent do you remember what

Drug this is what category it falls into it falls into our corticosteroids and this patient has asthma so what this corticosteroids going to do is it’s going to decrease inflammation because remember it really suppresses our immune system which is going to take away that inflammation because that’s what it means is i’m suing its inflaming the body so it’s great at

Preventing symptoms in that person with asthma now one thing i just want to throw in at the side because it’s a nurse you are going to be administering these corticosteroid inhalers and i have a whole video where i went over how to give metered dose inhaler administration for meds but whenever you give these corticosteroids you want to make sure that these patients

Gargle and rinse their mouth with water and spit that water out after using because these medications can cause thrush and irritate those mucous membranes so remember that okay our next drug is albuterol which is ventolin which is type of albuterol now what is that we’re all remember it is a bronchodilator and specifically it’s a short-acting one so it works for

A short period of time and what does this drug do just as its name says it’s going to open the bronchi and bronchioles of the lungs so you’re going to get more airflow through those lungs and this is what a person with asthma really needs because they have bronchoconstriction going on so they need this bronchodilator after they inhale it it pops those lungs open

And they can breathe and get air now how are we gonna be giving these who needs to go first whenever you’re giving the inhaler you have two inhalers once a bronchodilator once a corticosteroid well based on how it works what do you think the answer is you want to give that bronchodilator first because it’s gonna open up those airways so this is what we’re gonna

Give first then we’re going to give the corticosteroid because once the lungs are nice and open that corticosteroid whenever they inhale it can get in those small airways and decrease that inflammation because if we didn’t give that bronchodilator first those airways wouldn’t really be opened up and that corticosteroids taking it in there and do its job so we’ll

Give that second okay but how long do we really need to wait in between those we need to give that albuterol time to work to do its job so we’re going to wait five minutes in between those two doses okay now let me just throw something out there just for more information say you were giving how beautiful and they needed two puffs and you weren’t gonna be given

Corticosteroids and this is the same if you’re just going to be giving corticosteroids so they need to bus of albuterol you would give one puff and then you would wait one minute because it’s the same drug and then you would give the other one okay so just remember that to keep that straight because sometimes students get that confused so our answer is going to be

D first administer albuterol and then give fluticasone five minutes later okay so that sup this nclex review question be sure to check on the other questions in this series thank you so much for watching and don’t forget to subscribe to our channel for more videos

Transcribed from video
Pharmacology NCLEX Review Question: Bronchodilators and Corticosteroids Asthma Nursing By RegisteredNurseRN